National Provider Identifier
Ann M Moffitt I, CCC-SLP
Ann M Moffitt I, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 737-8545.
Profile Overview
- NPI
- 1174614077
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 27, 2006
- Last Updated
- September 27, 2011
Practice Location
- 16 Edendery Cir
- Fairport, NY 14450-1013
Phone: (585) 737-8545
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1174614077
- Entity Type
- Individual
- Last Name
- Moffitt
- First Name
- Ann
- Middle Name
- M
- Name Suffix
- I
- Credential
- CCC-SLP
- Mailing Street Address
- 16 Edendery Cir
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1013
- Mailing Country
- US
- Mailing Phone
- (585) 737-8545
- Practice Street Address
- 16 Edendery Cir
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1013
- Practice Country
- US
- Practice Phone
- (585) 737-8545
- Enumeration Date
- September 27, 2006
- Last Updated
- September 27, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- PO10114292 (NY, Blue Choice & Monroe Plan), 000927672001 (NY, Health Now), 7264573 (NY, Aetna)